| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.25 | $57.39 | $61.82 | |
Aetna
| Professional | $56.25 | $61.67 | $67.63 | |
BCBS
| Professional | $86.00 | $105.00 | $113.00 | |
Cigna
| Professional | $55.95 | $55.95 | $69.38 | |
United
| Professional | $77.70 | $116.56 | $167.45 |